Edward Allen Collacott, M.D Valid NPI

Individual provider · Physical Medicine & Rehabilitation Physician · Prescott, AZ

NPI

1124050976

Type

Individual (Type 1)

Primary specialty

Physical Medicine & Rehabilitation Physician (Physical Medicine & Rehabilitation)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

208100000X

License number

12425 (AZ)

Sex

Male

Sole proprietor

Yes

Enumerated

2006-07-06

Last updated

2023-09-06